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A 58 y.o. male with history of rhino-pharynx cancer treated by radio-chemotherapy presents for CEUS characterization of a known liver lesion.

Caption:Sagittal liver and right kidney

Description:A complex, irregularly shaped predominantly hyperechoic mass with central hypoechoic areas is seen in the right lobe of the liver. There is enhanced through transition beneath the mass, suggesting central necrosis or fluid content, and there is a thick slightly hypoechoic "halo" surrounding the mass, suggesting invasion or inflammatory response.

Caption:Sagittal of the mass with color Doppler

Description:Color Doppler reveals blood flow within the mass compatible with a neoplastic lesion

Caption:Baseline pre contrast administration

Description:Side by side gray-scale optimized and contrast optimized images.

Caption:18s post injection

Description:Following contrast injection the lesion enhances during the arterial phase.

Caption:25s post injection

Description:There is distinct rim enhancement.

Caption:30s post injection

Description:Wash-out begins to appear in the lesion.

Caption:33s Post injection

Description:Washout is rapid and marked.

Caption:3 min 23s post injection

Description:Contrast washout is nearly complete and rim enhancement has disappeared.

Caption:MRI of the lesion.

Description:The MRI examination confirms the CEUS exam findings.

Caption:Video

Description:After SonoVue injection the lesion enhances during the arterial phase and shows rim enhancement followed by quick and marked wash-out.

Intrahepatic portal vein thrombusThe patient presented to the ultrasound department by refferal from a previous MRI exam, which had suggested malignant liver tumors and the possibility of thrombosed intrahepatic portal veins.

Occluded TIPS shunt35-year-old male, with a history of hepatic cirrhosis, ascites and a positive HbsAg, who underwent TIPS stenting. His ascites improved post stenting. Now 2 months post stent, he complains of ...

Hepatic hemangioendotheliomaA month old neonate presents with hepatomegaly. She was born at 38 weeks via a normal vaginal delivery. An ultrasound of the liver was performed.

Iatrogenic liver hematomaA 50 year old woman, who is a known case of multiple myeloma, post stem cell transplant and with GVHD [graft versus host disease] of the gut, skin and liver, underwent a tru-cut needle biopsy of ...

Focal Caroli's diseaseA 23 year old male presented with pain in the right upper quadrant of the abdomen of two months duration. The pain was characterized as intermittent and cramping and occured after meals. An ...

Klatskin tumorA 61 year old man with prior history of pancreatitis presented for an ultrasound.

Recurrent pyogenic cholangitisA 50 year old man with chronic pain in the epigastric region of 6 years duration. He is a non-drinker, had been scanned three years ago and was advised surgery, but he declined. Now the patient ...

Hepatic metastasesA woman with a known primary ovarian carcinoma presents for follow-up ultrasound. She has elevated liver function tests. An ultrasound was performed.

Hepatic Echinococcus CystA 72 year old Italian woman presents with urticaria and a history of vague pain in the right upper quadrant. On examination there is a palpable mass in the RUQ. Laboratory data: Eosinophilia

Gallbladder Polyp52 year old male with sharp right upper quadrant abdominal pain. No history of similar kind of pain, no nausea, vomiting or fever. No history of gallstones. On Physical exam, abdomen is soft with ...

Hepatic LipomasAn obese 73 year old woman with history of hypertension, cholecystectomy and hysteroannessiectomy is referred for abdominal sonography due to a complaint of abdominal pain and constipation.